Questions about echocardiography?
Hello, doctor.
Recently, I experienced chest pain and numbness, so I visited a cardiologist.
At the first hospital, I underwent X-ray, ECG, and echocardiogram.
1.
Chest PA view shows:
- Cardiac size is within normal limits.
- Mild increased bilateral perihilar infiltrations.
- Degenerative changes with spur formation at the spine.
2.
Sinus tachycardia.
Otherwise normal.
3.
M-Mode:
- RVD (7-25): 32 mm
- IVSD (6-11): 11 mm
- LVDd (37-56): 40 mm
- AoRoot (20-37): 30 mm
- IVS excursion (6-11): mm
- LVDs (26-34): 25 mm
- AV opening (15-26): 19 mm
- LVPWD (6-11): 9 mm
- EPSS (<5): mm
- LA (9-40): 38 mm
- LVPW excursion (9-14): mm
- EF (>53%): %
- Structure abnormality: Pericardial effusion: No Yes
- Ant: cm, Post: cm, estimated amount cc
2D-Structure analysis:
- MV: Normal
- TV: Normal
- AV: Normal
- PV: Normal
- Others:
- Wall motion analysis: Normal LV wall motion
- EF: 72%
- Color Doppler: Mild MR
Comments:
1.
Normal LV wall motion, LVEF 72%
2.
Mild MR
During the report, the doctor simply told me that my heart is fine and suggested I see a neurologist because I also have insomnia, chest pain, gastroesophageal reflux (recently confirmed by endoscopy), and numbness in the right scalp and cheek.
At the neurology appointment, I had blood tests (thyroid normal) and EEG (normal), but the numbness in my head, face, and chest persists.
My family advised me to visit a larger hospital for further tests to rule out any missed issues, so I went to a larger hospital for a cardiology consultation, where I had an ECG and echocardiogram.
1.
Sinus rhythm
2.
#120
Clinical Dx:
M-mode + Section Scan:
- Aortic Root (20-37 mm): 30
- LAD (19-40 mm): 38
- LVIDd (35-51 mm): 44
- LVIDs (28-35 mm): 28
- VS (6-10 mm): 10
- PW (6-10 mm): 10
Comment: (M-mode, 2-D, Doppler & Color Flow Mapping)
- Normal heart chamber size.
- Preserved LV and RV systolic function, LVEF = 66%
- Preserved LV diastolic function: E/A = 1.1, Em/Am = 1.2, Em = 12.4 cm/s, E/Em = 7.4.
- MR: Minimal.
- TR: Minimal.
- PR: Mild.
- Other: (V) Poor acoustic window.
During the report, the second doctor also said there were no issues.
I mentioned that the previous examination indicated a possible mitral valve regurgitation, and he said it was very mild and many people have it.
However, today I saw in my health records that TR was also noted; is this a problem (as it was not mentioned in the first examination)? Additionally, there is a new finding of PR; is this serious?
Since these are all medical terms, the second doctor was also in a hurry and I couldn't ask many questions.
The information is quite extensive, and I still feel uncomfortable.
Recently, I have also experienced twitching in my right eyelid that hasn't stopped.
I feel really helpless, and I would greatly appreciate your help in clarifying my doubts.
Thank you!
Niming, 30~39 year old female. Ask Date: 2022/10/27
Dr. He Dongjin reply Cardiology
Hello, both examinations showed similar results with no significant issues.
The TR and PR are both very mild.
The eyelid twitching is not related to the heart; it is likely due to autonomic nervous system dysregulation.
Changhua Hospital cares about you.
Reply Date: 2022/10/27
More Info
Understanding heart ultrasound results can be quite overwhelming, especially with the medical jargon involved. Let's break down the key findings from your reports and clarify what they mean in simpler terms.
Summary of Your Heart Ultrasound Reports
1. Heart Size and Function:
- Your reports indicate that the size of your heart chambers is normal, which is a positive sign. The left ventricular ejection fraction (LVEF), which measures how well your heart pumps blood, is reported to be between 66% and 72%. This is within the normal range (typically 50-70%), indicating that your heart is functioning well in terms of pumping blood.
2. Wall Motion and Structure:
- The reports consistently show normal wall motion, meaning that the heart walls are contracting and relaxing properly. There are no significant structural abnormalities noted, which is reassuring.
3. Mitral and Tricuspid Regurgitation (MR and TR):
- Mild mitral regurgitation (MR) was noted in your reports, which means that a small amount of blood is leaking backward through the mitral valve when the heart contracts. This is common and often not a cause for concern unless it is severe.
- You also mentioned that tricuspid regurgitation (TR) was noted as minimal. This indicates a similar backward flow of blood through the tricuspid valve, but again, if it is minimal, it is generally not a significant issue.
4. Pulmonary Regurgitation (PR):
- Mild pulmonary regurgitation (PR) was also mentioned in your report. Like MR and TR, mild PR is often benign and does not typically require treatment unless it progresses.
5. Diastolic Function:
- Your diastolic function appears to be preserved, which means that your heart is able to fill with blood properly between beats. The E/A ratio of 1.1 indicates that the early filling of the heart is normal.
Addressing Your Symptoms
You mentioned experiencing chest pain, numbness, and other neurological symptoms such as facial and scalp numbness. While your heart ultrasound results are reassuring, it is essential to consider that symptoms like these can arise from various causes, not solely related to heart function.
1. Neurological Evaluation: Since you have ongoing neurological symptoms, it is crucial to follow up with a neurologist. They may consider further investigations such as MRI or CT scans to rule out any neurological conditions.
2. Gastroesophageal Reflux Disease (GERD): You mentioned having gastroesophageal reflux, which can cause chest discomfort and mimic heart-related symptoms. Managing this condition with dietary changes or medications may help alleviate some of your symptoms.
3. Anxiety and Stress: Sometimes, anxiety can manifest as physical symptoms, including chest pain and numbness. If you are feeling anxious about your health, discussing these feelings with a healthcare professional may provide some relief.
Conclusion
In summary, your heart ultrasound results indicate that your heart is functioning well, with only mild regurgitation noted in the mitral, tricuspid, and pulmonary valves. These findings are common and often not serious. However, given your ongoing symptoms, it is essential to continue seeking medical advice, particularly from specialists who can address your neurological concerns.
Always feel free to ask your healthcare providers for clarification on any terms or findings you do not understand. It is important to be informed about your health, and your comfort with your medical care is paramount.
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I'm sorry, but I can't assist with that.
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